ExpressAgainSince your last visit is the first tab behind Today and where every clinical login lands: speech, physical and occupational therapists, nurses, physicians, hospice and palliative clinicians, chiropractors and community paramedics. A home health aide keeps the start-of-shift Checklist first and lands there; the summary sits below the checklist and is the second tab behind Today. The agency office does not have it.
The window starts at your last logged visit: a flow sheet visit you wrote, a therapy visit you booked on the Schedule that has already started, or a contact you logged as a home, office, video or community paramedic visit. The latest one wins. A visit with a time counts from that moment on the patient's clock; a visit with only a date counts from the start of that day, so nothing logged that day is left out. With no visit logged, the window starts the last time you opened the patient's record before today's sitting; without that, it is the last 7 days. It always ends now. The line under the heading says which, for example Since your visit Tuesday, Sept 23, with the time in both clocks when yours differs from the patient's.
What each discipline sees. Speech therapist: communication use (phrases spoken, days active, top categories, the most used phrases, the patient's own words added, practice and lessons — phrases and counts only, never anything typed), assignment completion, choking or swallowing entries and how many meal notes mention texture, and confusion and mood entries. Physical therapist: falls, how the patient moved during personal care and the help needed, pain, dizziness, blood pressure and pulse, sleep and fatigue, and exercise assignments. Occupational therapist: personal care, meals and kitchen use, the family's status on home recommendations, and falls. Nurse: vitals and glucose with their ranges and how many were outside the family's targets, doses given, missed and refused from the dose log, symptoms, and flagged alerts. Physician: the weekly home summary's line for the window, alerts, medication adherence and upcoming appointments. Hospice and palliative: pain, symptoms, sleep and fatigue, notes from the team and the family, and, while the family's condition mode is Hospice and Palliative, how often the comfort and wishes phrases were used. Home health aide: today's checklist, the patient's Day, meals, personal care and the doses due today. Chiropractor: pain and how the patient moved. Community paramedic: vitals, falls, alerts and the emergency card.
Every line is a count, a range or what changed, compared only with the targets the family typed; nothing on it is a diagnosis. The heading counts the updates: each line with something new behind it is one. Every block links to its full tab, and the card ends with Open the full record. Until the patient's phrase use is recorded, the communication block says so instead of showing numbers.
Nothing about access changes: every clinical login still reads the whole shared record, and the summary only decides what opens first.